5014 16TH AVENUE, BROOKLYN, 11204, NEW YORK
					
				| Entity Name | AFREEN TARIQ-FAZILI, M.D., P.C. | 
| Entity Number | 4794844 | 
| Status | ACTIVE | 
| Incorporation Date | 24th July 2015 | 
| Dos Process Address | 120 ERIE CANAL DRIVE SUITE 200, ROCHESTER, 14626, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | MONROE | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |